Michael Jack Ulm, J.D., PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9106412 Issued in FL

Practice address

2551 Boggy Creek Rd
Kissimmee, FL 34744-3806

Phone

(407) 348-0990

NPI assigned

Feb 4, 2012

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Juris Doctor, Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Emergency Physician Specialists Inc

  • Emergency Medicine Physician
  • Davenport, FL
  • NPI 1912973850
  NPD
• Advance Technological Radiology, PA

  • Diagnostic Radiology Physician
  • Davenport, FL
  • NPI 1154450351
  NPD (past)
• Blackhawk Mangum, LLC

  • Clinic/Center
  • Mangum, OK
  • NPI 1811351703
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1328313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328313600000",
    "number": "1134491244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2551 BOGGY CREEK RD",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347443806",
            "telephone_number": "407-348-0990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2551 BOGGY CREEK RD",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347443806",
            "telephone_number": "407-348-0990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ULM",
        "first_name": "MICHAEL",
        "middle_name": "JACK",
        "name_prefix": "Mr.",
        "credential": "J.D., PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-02-04",
        "last_updated": "2012-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9106412",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "PA751",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ucp of Central Florida
• Eleazar Udang
• Nnaemeka Ude, MD
• Robyn Paige Ukockis, RBT
• Daniel Ryan Ullah, PA-C
• Savannah Ulmer, PAC
• Casie Ulysse
• Fred C Umeh, MD
• Oscar Umpierre Tendero, MD
• Farides Umpierre

• Physician Assistant in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.